Individual provider Active NPI

Melissa Ann Muench, D.O.

  • Family Medicine Physician
  • Fenton, MO
National Provider Identifier
1104266733
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016013270 Issued in MO
Practice address
714 Gravois Rd Ste 210
Fenton, MO 63026-7723
Phone
(636) 660-9850
Fax
(636) 660-9851
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016013270 MO Primary

Addresses

Primary practice location

714 Gravois Rd Ste 210
Fenton, MO 63026-7723

Mailing address

PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000

Other identifiers 1

IdentifierTypeStateIssuer
1104266733MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718000234 MO Practitioner - Family Practice 0244536837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

714 Gravois Rd
Suite 210
Fenton, MO 63026-7723
Phone (636) 660-9850

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2016013270MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Family Medicine - SLMG South, LLC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients

Locations

714 Gravois Rd
Ste 210
Fenton, MO 63026
Phone (314) 543-5230

1501 Professional Dr
Imperial, MO 63052
Phone (636) 464-4000

1475 Kisker Rd
Ste 230
Saint Charles, MO 63304
Phone (636) 939-5000

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

12655 Olive Blvd
Fl 4
Saint Louis, MO 63141
Phone (314) 394-7444

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

Interoperability endpoints

  • Direct secure messaging: melissa.muench.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1104266733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419052",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419052",
            "telephone_number": "314-851-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD STE 210",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267723",
            "telephone_number": "636-660-9850",
            "fax_number": "636-660-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENCH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016013270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104266733",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.